NPIMap

Organization Active NPI

Serenity Life Wellness, LLC

  • Rehabilitation Chiropractor
  • Atlanta, GA
National Provider Identifier
1245595503
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
SERENITY LIFE WELLNESS, LLC
Practice address
95 Cliftwood Dr NE
Suite a
Atlanta, GA 30328-4917
Phone
(404) 257-9989
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Serign J Ceesay
Title
Ceo
Phone
(404) 257-9989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

95 Cliftwood Dr NE
Suite a
Atlanta, GA 30328-4917

Mailing address

95 Cliftwood Dr NE
Suite a
Atlanta, GA 30328-4917
Phone (404) 257-9989

National Provider Directory

National Provider Directory

Locations

95 Cliftwood Dr
Ste A
Sandy Springs, GA 30328
Phone (404) 252-2520

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1245595503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CLIFTWOOD DR NE",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284917",
            "telephone_number": "404-257-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CLIFTWOOD DR NE",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284917",
            "telephone_number": "404-257-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIFE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "CEESAY",
        "authorized_official_first_name": "SERIGN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-257-9989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.